Racing License

To participate in any SSCC event, all drivers and navigators must have a current racing license. The annual racing license is available for $50.00 per participant. Annual racing licenses expire on April 30th of the following year. Racing licenses received after our September event will be applied to the following year. A current racing license will insure you receive all SSCC event mailings, and allow you member access to post to our SSCC message board. Car number requests will not be considered along with an annual racing license. There is no annual racing license fee for life racing licenses.

Annual Racing License: $50.00 per participant

Participant Information

Step 1 of 3 Participant Information

Contact Information

First Name
Last Name
Home Phone	( )
Cell Phone	( )
Work Phone	( )
Fax Number	( )
EMail Address

Address

Address
City
State
Zip
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Additional Information

Previous participants, has your address changed?	Yes No If yes, which? Home EMail Both
Do you want your forms and info mailed to you or will you download them from our website?	US Mail I will download them
Are you the driver or navigator?	Driver Navigator
How did you hear about us?

Alternatively, you can also print this form, complete it, enclose your payment, and mail it to:

1139 E. Aultman Suite C
Ely, NV 89301
Phone (775) 289-6900
Fax (775) 289-6911
Make your check or money order out to: SSCC, Inc.

Billing Information

Step 2 of 3 Billing Information

Billing Contact Details

First Name
Last Name
Phone	( )
EMail Address

Billing Address

Address
City
State
Zip

Total ORDER AMOUNT

Subtotal	$ .00
Shipping	$ .00
Grand Total	$ .00

Make Payment

Step 3 of 3 Make Payment

Total ORDER AMOUNT

Subtotal	$ .00
Shipping	$ .00
Grand Total	$ .00

Make Payment

Step 3 of 3 Make Payment

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